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1073148201
NICHOLAS ROBERT BRULE
GRAND RAPIDS, MI
NPI
1073148201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
NICHOLAS ROBERT BRULE
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2508
Phone number: 906-221-1088
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Mailing Address
NICHOLAS ROBERT BRULE
601 MICHIGAN ST NE APT 402
GRAND RAPIDS, MI 49503-3597
Phone number: 906-221-1088
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